Individual
KENYA MCGRUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 CONCORD AVE STE 100, CONCORD, CA 94520-4969
(510) 268-8120
Mailing address
32300 SAN TIMOTEO CANYON RD, REDLANDS, CA 92373-7961
(909) 272-8189
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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